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It describes how preparation expectations differ as HESI testing has evolved into Next Generation and Legacy formats, including multiple exam types schools may administer. 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It is to prepare with clarity and confidence.  \nIt is my mission to help every student know what to expect, prepare for, and succeed on the HESI.  \nMany students begin their HESI prep without a clear picture of the exam structure. This uncertainty can increase anxiety, and it almost always leads to inefficient studying.  \nHere’s what I’ve seen over and over again:  \n- Students study hard.  \n- Students feel prepared.  \n- Students walk into the HESI confident.  \nAnd then… they realize the questions are not testing memorization.  \n- They’re testing decision-making.  \n- They’re testing prioritization.  \n- They’re testing clinical judgment under pressure.  \nAnd that’s where many strong students fall short…  \nAnd this matters more than you think! As a result, every semester, students fail the HESI. Not because they didn’t study… but because they studied the wrong way.  \nMemorizing content is not enough anymore. The 2026-2027 HESI tests clinical judgment, and if you don’t train that skill specifically, you will feel blindsided.  \nThe Critical Thinking Report by Claire Corter 2  \nAs you may be aware, the HESI Exit Exam has evolved. Following the introduction of Next Generation testing (back in 2023), the HESI Exit Exam now exists in multiple formats. As of 2026-2027, schools can administer a Next Generation HESI Exit Exam, a Legacy HESI Exit Exam, a HESI CAT Exit Exam, in addition to many Specialty Subject exams and even an A2 Entrance Exam.  \nThe good news? We cover all these exams! (However, if you need to prepare for the pre-nursing A2 Entrance Exam, you have signed up for the wrong email series! In that case, [just visit](just visit www.yourbestgrade.com/a2)[ ](just visit www.yourbestgrade.com/a2)[www.yourbestgrade.com/a2](just visit www.yourbestgrade.com/a2) ).  \nAssuming you need to take the HESI Exit, or a HESI Specialty Subject exam, continue reading…  \nAll HESI exams currently exist in both a Next Generation and Legacy version.  \nYour school decides which version ofthe HESI exam they administer. It’s important that you know which version you’ll need to take, so you can properly prepare.  \nWhat’s the difference?  \n\n| HESI Exam Name | \\# Legacy\u003Cbr>test items | \\# NextGen\u003Cbr>test items | \\# pilot\u003Cbr>items | Total\u003Cbr>Items |\n| --- | --- | --- | --- | --- |\n| RN Exit Legacy | 150 | 0 | 10 | 160 |\n| PN Exit Legacy | 100 | 0 | 10 | 110 |\n| RN / PN Exit Next Generation | 100 | 28 | 2 | 130 |\n| RN / PN Specialty Subject Legacy | 50 | 0 | 5 | 55 |\n| RN / PN Specialty Subject Next Gen format 1 (e.g. Med Surg, Maternity and Pharmacology) | 42 | 16 | 2 | 60 |\n| RN / PN Specialty Subject Next Gen format 2 (e.g. Fundamentals, Nutrition, and Management) | 46 | 6 | 8 | 60 |\n\nAs you can see in the summary above, each HESI exam contains a different number of graded Legacy, graded Next Generation, and ungraded pilot (“beta testing”)  \nquestions.  \nIf you need to take a Legacy HESI exam, you will only face Legacy-type questions. What are Legacy questions?  \nThe legacy HESI exams consist primarily of multiple choice (MC) questions. Most questions have 4 answers, of which only one is correct. Others (SATA,“Select All That Apply”) have 5 or more answers, wit","cbCaisXyrr9qabEx","https://ap.wps.com/l/cbCaisXyrr9qabEx","pdf",549004,15,"English","# What the HESI tests\n## Decision-making and clinical judgment under pressure\n# HESI Exit Exam formats\n## Next Generation vs Legacy\n## Specialty subjects and A2 entrance context\n# Legacy HESI exam question types\n## Multiple choice and multiple response\n## Hot spot and fill-in-the-blank\n## Chart/exhibit and ranking","[{\"question\":\"What does the HESI Exit Exam focus on besides memorization?\",\"answer\":\"It tests decision-making, prioritization, and clinical judgment under pressure, not just memorization of content.\"},{\"question\":\"What major versions of the HESI exams exist as of 2026-2027?\",\"answer\":\"HESI exams exist in both Next Generation and Legacy versions, and schools choose which version to administer.\"},{\"question\":\"How can students recognize legacy question formats?\",\"answer\":\"Legacy questions largely use multiple-choice and multiple-response styles, including SATA, plus item types such as hot spots, fill-in-the-blank calculations, chart/exhibit questions, and ranking (sequence) items.\"}]","The Critical Thinking Report - By Claire Corter | PDF",1790751010,38]